NO PERMIT NUMBER 21595 4l nrovia Street Lot No. 205
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No. 51145
Sanitary No. 4710
Date 3/116 196
Application is hereby made for a permit to
Construct a 1 story, Type 5 1 J
to be occupied only as Single j Family Dwelling
in accordance with plot Plan, Plans and Specification filed herewith„
Estimated Value of Improvements $ 26,000. oo
FEE$ 80. 50 Pion Check $
ow„er Ward Crump Dev. Address Box 634, Cupertino
by Ray Crump
C°ntr. Address
Phone 253-0800 State License 1926o9
Approved W. D. Benevich/h
c
APPLICATION FOR-ELECTRICAL PERMIT
Data /J 196 G FEES - /'r6 5
Cont'. � C(S�� LCG.CX Address 77r19
Approved
Phone __ f/o O r�...� �• State License. �C/�'�'�-�
�, �Sr/
Approved ' /
��A//PPLICATION FOR PLUMBING & GAS PERMIT
Date 196 I°
GAS-FEE $
f PLUMBING FEF $ G
Contr. �h'P'"lti'�'"� i Address
Phone State License
7
Approved
l
tV/ APP ICATION FOR APPLIANCE ERMITa,
Date r S— 1% ////�-7� 1 FE//ES� /� —
Cont,. X44' Y�/�-(.t�Y /2-'A$filr�s 7 f d2x
Phone — r�--f✓ 6 s State License //0 Q ��
Approved _ WILLIAM n n^NEyfel f
Applicants agree not to violate any of the
Workman's Compensation Laws of the
Slate of California
,p
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
tg� Spector
UNDERFLOOR (o �
fa91a//t Inspector
FRAME �•../`Y S-
a
LATH 8 PLASTER � J l ns pector
_ _D C s actor
FINAL
Da to Ins as c ter
ELECTRICAL
,OUTLETS / is
SERVICE SI
SWITCHES oZ O UNDERGROUND
20 29'0r(*— Ina ter
RECEPTACL?S( ROUGH WIRING
D to Inspector
FIXTURES FINISH WIRING
KU 1 3 ! Date Inspector
H.P. CHARGE a-s FIXTURES
/ UH ate Inspector
PE MIT FEE Ov Motors
TOTAL FEES /S- FINAL spector
(, S-
r
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE �-"•ATERIAL
4
0
WATER SYSTEM SIZE ATERIAL
TOTAL FIXTURES i UNDERGROUND /
FIXTURE FEE PARTIAL ROUGH - 'G
Date (11
MAIN DRAIN FEE ROUGH COMPLETE.f _CC
a e r
STORM DRAIN FEE MAIN DRAIN aI�-
WATER SYSTEM FEE � GAS PIPING Ocy�I`OC� In
e
GAS PIPING FEE .52 FINAL
Data spector
PERMIT FEE J/ Ni MISC
7ate Inspector
TOTAL FEE MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS 1-2- 3"_
7=—
BLOWER
_BLOWER FURNACES COMBUSTION VENT �crz
SUSPENDED UNIT MISC
GAS'RANGE MISC
GAS DRYER PERMIT FEE - c`--
FLOOR FURNACE TOTAL FEE
INSPECTED
Date Inspector
ROUTE SLIP
File No . S-
Date Out 7j. 1
Date In /
nLe�(J
Location a-0
Sub,jeat �-+-+—P _
Notes
Approved a _ T
Sate Inspsctor
ROUTE SLIP
File No.
Date Out
Date In
Locations S
Subject �
Notes
Approved dAev _
Date Inspector
: t
_ w
96
W6
76
69
• Bldg. Dept
Office Copy
BUILDING -INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. .......
----------
gelpliumbing Final Plumbing Permit No. �,` K---------
Lot No. .
Owner or Tenant ...l,,r�.�, .�� ----------- -------------
At
Tract ........ .. .. - ------------ .........----------------.....--/-./....
Date Connected -- ` ------------------ --------------- ---------
ateFinal ...--.. .... 6---------- ............ ---------------
5;q NG INSPECTOR
III 7/63-IM
OFFICE COPY
ELECTRIC SERVICE NOTICE
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
...... ........ ..... ...... 1964.
To
You are hereby authorized to connectllectrical
e ice fo
Owner or Tenan
yt
At ...
..................................... . .
.... ......... ...............
-.I .....................................
No. of Wir,:9-10.................. Size of Wires ��........ Size of Switi:IW6;�e�-
Motor Load .......................... Voltage ................................ phase .... ......... ...................
Heating Load ........................ K. W. ......... .... . ... ...... Voltage ...............................
`14o. of MetersNew Service..._........... Rrom,,t..................
No.of Add. Heat................ 220............ Three. Wire................ Move Service............
Power.............. Phase.. Move Meter..............
...... .
a. . . ............................................
,g:� HLECTRICALiNSPECTOR
5r GAS SERVICE NOTICE ortaC!.
ucbO BUILDING INSPECTOR'S OFFICE COPY
CITY OF CUPERTINO
..
To 196
You are hereby authorized to connect the GAS service for
Owner or Tenant
At
New Service _��_..............
No. of Meters .... ......_.. Reconnect
..............................
Move Service ... .......
No, of Add. Meters ..._.. ...... Move Meter
PL MBING INSPECTOR
Lot No.
T
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO r
File No.
Sanitary No. -
Date ��196 �2.
Application ' hereby made for a permit to
��
/��/.YtW.''.�.+ a story, Type
to be occupied only as
in accordance with Plot Plan, Plans and Specification filed herewith,.
Estimated Value of Improvements $
FEE$ Plan Check $ ,
Owner Address
C ontr. Address
Phone State License
Approved
e
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEE$
Contr. .Address
Phone State License
Approved
APPLICATION FOR PLUMBING 8, GAS PERMIT
Data1/ O 196 GAS FEE $
? PLUMBING FEE $ -7E�
Contr. ZVZ; -�-E_l.Z Address _ //5-0 00A 1
Phone - US 7 R— .5060 State License / —
Approved a)l A J/
�21Vt
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEE$
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California _
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING
Date - Inspector -
UNDERFLOOR '
Date Inspector
FRAME
Date Inspector
LATH & PLASTER
Date Inspector
FINAL
Dote Insoector
ELECTRICAL
,OUTLETS SERVICE SIZE
SWITCHES UNDERGROUND
Data Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES
Date Inspector
PERMIT FEE Motors
Dote Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING.& GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
WATER SYSTEM SIZE T ERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
' DateKInspector
ctor
STORM DRAIN FEE MAIN DRAIN
Date'
WATER SYSTEM FEE �� GAS'PI
Dotetor
GAS PIPING FEE FINAL
Date" tor
PERMIT FEE °r MISCDotetor
TOTAL FEE I ' MISC
Dote 'Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS.
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC "
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE*
INSPECTED
Date Inspector